Individual
DR. RANDALL WAYNE STETTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5565 GROSSMONT CENTER DR, BUILDING 1, SUITE 129, LA MESA, CA 91942-3020
(619) 463-4486
(619) 463-6553
Mailing address
5565 GROSSMONT CENTER DR, BUILDING 1, SUITE 129, LA MESA, CA 91942-3020
(619) 463-4486
(619) 463-6553
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
39089
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39089
LICENSE
CA
Enumeration date
04/17/2007
Last updated
09/17/2025
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